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AstrBotvsOpenEMR

Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.

AstrBotOpenEMR
Score88/10072/100
Rank in category#4 of 125 in AI#1 of 5 in Healthcare
GitHub stars44 5285 555
Stars, last 30 days+3 596+89
Stable releases, 12 months226
Latest releasev4.29.3 · 24 Oct 2026v8_5_0 · 27 Oct 2026
SetupModerateAdvanced
Official Docker imageYesYes
LicenseAGPL-3.0GPL-3.0
Main languagePythonPHP

Which one should you pick?

AstrBot scores 88/100 against 72/100 for OpenEMR, so it is the safer default.

AstrBot ships more often: 22 stable releases in the past year, against 6 for OpenEMR.

If you want the quickest setup, AstrBot is easier to run; OpenEMR needs more configuration.

AstrBot is growing faster right now (+3 596 stars in 30 days).

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